Postoperatives Schwellungs- und Schmerzmanagement durch kinesiologisches Tape nach Versorgung von zygomatico- orbitalen Frakturen

Schwärzler, Katharina (2019): Postoperatives Schwellungs- und Schmerzmanagement durch kinesiologisches Tape nach Versorgung von zygomatico- orbitalen Frakturen. Dissertation, LMU München: Medizinische Fakultät

Abstract

Objectives: Besides all benefits of the surgical treatment of zygomatico-orbital complex (ZO) fractures patients often suffer from the postoperative morbidity of this procedure in particular by pain, trismus and swelling affecting patients’ quality of life. Several methods to control the immediate inflammatory response associated with ZO fractures surgery have been performed and reported. However, no modality significantly prevents the occurrence of these complications without undesirable side effects. The aim of the present study was to investigate whether the application of kinesiologic tape prevents or improves swelling, pain and trismus after ZO fracture surgery, improving patients’ postoperative quality of life. Materials and methods: 30 patients were assigned for treatment of ZO complex fractures and were divided randomly into treatment either with or without kinesiologic tape application. Tape was applied directly after surgery and maintained for at least 5 days postoperatively. Facial swelling was quantified using a five-line measurement at six specific time points (pre-operative, post-operative, first, second, third and seventh postoperative days). Pain score was assessed using a 10-level visual analogue scale (VAS); mouth opening was measured. Patient’s objective feeling and satisfaction were queried. Results: The application of kinesiologic tape after ZO fracture surgery has a statistically significant influence on tissue reaction and swelling, reducing the incidence of swelling and decreasing the turgidity for a high percentage during the first 3 days after surgery. Although, kinesiologic tape has no significant influence on pain control, patients felt significantly lower morbidity than without kinesiologic tape. Conclusions: Kinesiologic tape after ZO surgery is a promising, simple, less traumatic, economical approach free from adverse reaction upgrading patient’s quality of life.

• Dokumententyp: Dissertationen (Dissertation, LMU München)
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften ; 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• Fakultäten: Medizinische Fakultät
• Sprache der Hochschulschrift: Deutsch
• Datum der mündlichen Prüfung: 15. April 2019
• 1. Bericht­erstatter:in: Stelter, Klaus